HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONINFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Q
Permit Number:
,SCANNED
Building Permit Application
®IAHLy
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ning and Development Services UU t:
ling and Code Regulation Division
) Virginia Avenue, Fort Pierce FL 34982
ne: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential
PER IMITAPPLICATION
FOR: Roof
PR �POS'ED
IMPROVEMENTLOCATIQN�
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10 San Felipe, Fort Pierce, FL 34951
cription: Spanish Lakes Country Club SECT 6 TWP 345 Range 39E
Prop IrtyTax ID #: 1301-111-0001-000-5 Lot No.
Site an Name: Block No.
Proje Name:
Setb cks Front Back: Right Side: Left Side:
Reroof- Remove existing roof covering, dry in with self adhering underlayment'and install 5 V Crimped
Metal/i,lroofing.
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k
CON TR,UCTIONINFORMATI®N4..i b H}A`d....T.r..Yfr p
Ad it'pnal work to e e orme under this permit — check a apply:
_ VAC 13 Gas Tank Gas Piping _ Shutters ❑ Windows/Doors
❑ lectric 0 Plumbing []Sprinklers Generator Roof 3�12 Roof pitch
Total . Ft of Construction: 1170 S . Ft. of First Floor:
Cost of Construction: $ 7,465 Utilities..
Septic -Building Height:
OW
iER LESS r
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C`ONTRACTOR� W
Gt. a�.W"', CUM
Name
Ynne Building Corp& Jackie Hamil
Name: Michael Miller
Addre
Company: Trade Winds Roofing, Inc
I� :12804 SW 122nd Ave
iami State:
City:
Address: P.O. Box 13208
Zip Coll
e: 33186 Fax:—.
City: Fort Pierce State: FL
Phone
o. 716-290-6475
Zip Code: 34979 Fax: 772-466-9725
i
E-Mai
Phone No. 772-466-9420
a simple Title Holder on next page ( if different
Ie Owner listed above)
Fill in
from t
E-Mail: Mike@tradewindsroofing.com
State or County License: CC C057399
it value pt construction is $Z500 or more, a RECORDED Notice of Commencement is required.
SlPPLEMENTAiL
CONSTR'UCTIDN, LIEN LAW"IN,FORMATI�N
�,.._
.,
DEISIGNER/ENGINEER: _
Not Applicable.
MORTGAGE COMPANY: Not Applicable
Nalme:
_
Name:
Add ress:
Address:
Cite
State:
City: State:
Zi
Phone
Zip: Phone:
FE
, SIMPLE TITLE HOLDER: _
Not Applicable
BONDING COMPANY: Not Applicable
Na
i e:
Name:
Ad
ress:
Address:
Cit
City:
Zip
, Phone:
Zip: Phone:
OW ER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated.
I ce 1fy that no work or installation has commenced prior to the issuance of a permit.
St. Lu lie County makes no representation that is granting a permit will authorize the permit holder to build the subject structure
whic is in conflict with any applicable Home Owners Association rules, bylaws or and covenants that may restrict or prohibit such
struc II re. Please consult with your Home Owners Association and review your deed for any restrictions which may apply.
In co '� ideration of the granting of this requested permit, I do hereby agree that I will, in all respects, perform the work
in acc' rdance with the approved plans, the Florida Building Codes and St. Lucie County Amendments.
The f lowing building permit applications are exempt from undergoing a full concurrency review: room additions,
acces bry structures, swimming pools, fences, walls, signs, screen rooms and accessory uses to another non-residential use
WA i`,,lING TO OWNER: Your failure to Record a Notice of Commencement may result in your paying twice for
imps vements to your property. A Notice of Commencement must be recorded and posted on the jobsite
WE' the first inspection. If you intend to obtain financing, consult with lender or an attorney before
corn I encinF wor0hr recording vour Notice of Commencement_ A
Sign 'l ure of Owner/ Lessee Contractor as Agent for Owner
Signature of Contractor/License Holder
STAI E OF FLORIDA 1 0 `
CO TY OF
STATE OF FLORIDA
COUNTY OF l�
`
)
The r of g instrqpQent was acknowledged before me
this, ay of L-���1 20 (d
The forg ' g instru nt was acknowledg d�before me
this ay of �" 20 l e'� by
I e-A M), e-f
Cs \ \1t_(
Pers
Name of person aking statement
ally Known ' FOR Produced Identification
Name of person king statement
Personally Known person
Produced Identification
Type
f Identification
Type of Identification
Prodted
Produced
Ct
(Sign'
ure of Notary Public-Sta of Flori aeticfa Lyne Wilkln
(Signat re of Notary Public -State Floridal
R Felicia Lyne MUM
Com1�lsslon
�T�1RY PUBLIC
No. ff�E
' TIC OF FLORIDA
Commission No.T�1RY PUBLIC
(`
j�
�� STA OF FLORIDA
Comm# GG103866
Comm# GG103860
0
iy
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
11
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEI
ED
DATE
COM
LETED
Rev. 8/2/17